Name of the Procedure:

• Common Name: Integra Flowable Wound Matrix Injection
• Technical/Medical Term: Injectable Wound Matrix

Summary

The Integra Flowable Wound Matrix procedure involves injecting a flowable tissue matrix into a wound site to promote healing. This matrix is made from bovine collagen and glycosaminoglycan, providing a scaffold for cellular infiltration and capillary growth, aiding the body's natural healing process.

Purpose

• Medical Conditions: Chronic wounds, diabetic ulcers, pressure ulcers, surgical wounds, traumatic wounds.
• Goals: To promote tissue regeneration and wound closure. Expected outcomes include reduced healing time, enhanced tissue repair, and minimized infection risk.

Indications

• Patients with non-healing chronic wounds.
• Diabetic patients with foot ulcers.
• Patients with pressure or venous ulcers.
• Individuals with surgical or trauma-induced wounds.
• Suitable for patients without allergies to bovine products.

Preparation

• Pre-Procedure Instructions: Depending on the wound, fasting may not be required. Adjustments in medication (like blood thinners) may be advised.
• Diagnostic Tests: Wound assessment, blood tests, and possibly imaging studies to evaluate the extent and depth of the wound.

Procedure Description

1. Assessment: Initial wound examination and cleaning.
2. Anesthesia: Local anesthesia may be applied to the wound site.
3. Injection: The Integra Flowable Wound Matrix is injected directly into the wound using a syringe. The material conforms to the wound's shape, filling it evenly.
4. Dressings: The wound is then covered with a sterile dressing to maintain a moist environment conducive to healing.

Tools and Equipment: Syringes, sterile dressing materials, possibly wound irrigation tools.

Duration

• The injection itself typically takes around 10-20 minutes. Additional time for preparation and post-procedure dressing may extend the total time to approximately 30-45 minutes.

Setting

• Where Performed: Outpatient clinic, hospital, or surgical center.

Personnel

• Healthcare Professionals Involved: Wound care specialists, surgeons, nurses.

Risks and Complications

• Common Risks: Infection at the injection site, mild pain or discomfort, temporary localized swelling.
• Rare Risks: Severe allergic reactions, rejection of the matrix material, delayed wound healing.

Benefits

• Expected Benefits: Faster wound healing, reduced infection rates, improved tissue regeneration.
• Timeline: Benefits may begin to manifest within days, with significant improvement typically observed over several weeks.

Recovery

• Post-Procedure Care: Regular wound assessments, cleaning, and dressing changes as per medical advice.
• Recovery Time: Can vary from few weeks to several months, depending on wound size and patient's overall health.
• Restrictions and Follow-Up: Patients may need to limit movement to avoid disturbing the wound dressing and attend regular follow-ups to monitor healing progress.

Alternatives

• Other Options: Traditional wound dressings, skin grafts, vacuum-assisted closure devices.
• Pros and Cons: Traditional dressings are less costly but may take longer to heal. Skin grafts provide immediate coverage but involve more extensive surgical procedures.

Patient Experience

• During Procedure: Minimal discomfort due to local anesthesia.
• After Procedure: Likely to experience mild soreness at the site. Pain management includes over-the-counter pain relievers or prescribed medications. Regular dressing changes and wound assessment are part of the follow-up care to ensure optimal healing.